Provider Demographics
NPI:1851648828
Name:PREFERRED INDEPENDENT SUPPORT SERVICES, LLC
Entity Type:Organization
Organization Name:PREFERRED INDEPENDENT SUPPORT SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:J
Authorized Official - Last Name:CASH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:316-993-6504
Mailing Address - Street 1:8245 QUEBEC ST
Mailing Address - Street 2:
Mailing Address - City:COMMERCE CITY
Mailing Address - State:CO
Mailing Address - Zip Code:80022-4949
Mailing Address - Country:US
Mailing Address - Phone:316-993-6504
Mailing Address - Fax:303-286-0100
Practice Address - Street 1:8245 QUEBEC ST
Practice Address - Street 2:
Practice Address - City:COMMERCE CITY
Practice Address - State:CO
Practice Address - Zip Code:80022-4949
Practice Address - Country:US
Practice Address - Phone:316-993-6504
Practice Address - Fax:303-286-0100
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-09
Last Update Date:2012-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care